Does Windom Area Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Windom Area Health. In a medical emergency, call 911.

Where is Windom Area Health?

2150 Hospital Drive, PO Box 339, Windom, MN 56101, in Cottonwood County, Minnesota.

What is the phone number of Windom Area Health?

(507) 831-2400, as listed by Medicare (CMS).

What is the Medicare star rating of Windom Area Health?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Windom Area Health — Phone, Address, ER & Ratings

Quick answers

Does Windom Area Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Windom Area Health. In a medical emergency, call 911.
Where is Windom Area Health?: 2150 Hospital Drive, PO Box 339, Windom, MN 56101, in Cottonwood County, Minnesota.
What is the phone number of Windom Area Health?: (507) 831-2400, as listed by Medicare (CMS).
What is the Medicare star rating of Windom Area Health?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[7][9][10][13][14]}

Cardiology
General surgery
OB/GYN
Orthopedics
Urology
Ophthalmology
Podiatry
Pulmonology
Vascular
Mental health
Integrative health
OccMed
Pain management

Conditions treated^{[8][10][13][14][16][17]}

Treatments^{[10][11][12][16][17]}

Chemotherapy
Targeted IV therapy
Port flushes
Hyperbaric oxygen therapy
Wound debridement
Total contact casting
Cellular tissue grafts
Physical therapy
Occupational therapy
Vestibular therapy
Dry needling
Cupping therapy
LSVT BIG program therapy
Sensory integration therapy
Echocardiograms
Electrocardiograms (EKG)
Nuclear scans
Stress tests
Mammograms
CT scans
MRI (mobile)
DEXA scans
Ultrasound
Lung cancer screening (low-dose CT)
Heart and vascular screenings
Fluoroscopy

Procedures^[13][14]

Robotic-assisted surgery (da Vinci Xi)
Colonoscopy
Gastroscopy
Laparoscopic procedures
Gallbladder removal
Appendectomy
Hernia repair
Colectomy
Breast cancer excision and biopsy
Lymph node biopsy
Cesarean section
Hysterectomy (da Vinci)
Hysteroscopy
Salpingectomy
Incontinence repair
Total hip and knee replacement
Anterior hip replacement
Shoulder replacement
Arthroscopic knee repair
Arthroscopic shoulder repair
ACL reconstruction
Rotator cuff surgery
Meniscus repair or removal
Carpal tunnel release
Trigger finger release
Amputation
iovera pain treatment before joint replacement

Programs and centers^{[6][8][9][11][13][15][16][17]}

Cardiac Rehabilitation
Peripheral Artery Disease (PAD) Exercise Program
Birth Place
Safe Place for Newborns
Wound & Hyperbaric Healing Center
Cancer Care
Senior Driving Program
Total Joint Camp
Wellness Center
PAD Exercise Program (provider referral required)

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Recognition^[12]

Mammography facility accredited by the FDA and the American College of Radiology (ACR)

Doctors and clinicians (98)

98 doctors and other clinicians list Windom Area Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (98)

Aaron J. Stoick, NPNurse Practitioner
Adam H. Nichols, DPMPodiatry
Adam R. Walker, NPNurse Practitioner
Ahmad J. Yusuf, MDFamily Practice
Ahmed Abd Elazim, MDNeurology
Alettie J. Lewis, PAPhysician Assistant
Ali B. Shehata, DOFamily Practice
Allison G. Sandbeck, NPNurse Practitioner
Andrea B. Jolley-Paulet, MDFamily Practice
Andrew Erickson, DODiagnostic Radiology
Andrew J. Kopperud, MDInternal Medicine
Andrew R. McNamara, MDHand Surgery
Angelo N. Santos, MDVascular Surgery
Ann M. Sarutzki TuckerNurse Practitioner
Ashley N. Hanson, CNACertified Registered Nurse Anesthetist (CRNA)
Ashley S. HeibelNurse Practitioner
Ashraf A. Elshami, MDPulmonary Disease
Austin Fletcher, MDInterventional Radiology
Avinash Viswanath, MDEmergency Medicine
Ayodeji O. Balogun, MDHospitalist
Billy D. Wyatt, MDEmergency Medicine
Brett D. Van Kley, MDFamily Practice
Brianne Miller, CSWClinical Social Worker
Bruce W. LarkinFamily Practice

And 74 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Sanford Jackson Medical Center19 mi · Jackson, MN · Critical Access Hospital
Sanford Westbrook Medical Center19 mi · Westbrook, MN · Critical Access Hospital
Mayo Clinic Health System St. James26 mi · St James, MN · Critical Access Hospital
Sanford Worthington Medical Center29 mi · Worthington, MN · Acute Care Hospital
Lakes Regional Healthcare32 mi · Spirit Lake, IA · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Windom

Murray County Memorial Hospital32 mi · Slayton, MN · Critical Access Hospital

Hospitals in Cottonwood County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Good Samaritan Society - Windom1.3 mi · Windom, MN · 1 of 5 stars
Good Samaritan Society - Mountain Lake11 mi · Mountain Lake, MN · 4 of 5 stars
Colonial Manor Nursing Home14 mi · Lakefield, MN · 1 of 5 stars

All nursing homes in the state →

Home health agencies

Good Sam Society Home Care of SW MN0.0 mi · Windom, MN · 4.5 of 5 stars

All home health agencies in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Access Health - Windom0.9 mi · Windom, MN · Community health center
Access Health-Fulda23 mi · Fulda, MN · Community health center

Clinics and urgent care

Sanford Clinic Mountain Lake11 mi · Mountain Lake, MN · Rural health clinic
Sanford Clinic Lakefield18 mi · Lakefield, MN · Rural health clinic
Sanford Clinic Westbrook18 mi · Westbrook, MN · Rural health clinic

Pharmacies

Hy-Vee Inc0.0 mi · Windom, MN · Community/retail pharmacy
Sanford Health Network0.0 mi · Windom, MN · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

Good Samaritan Society Windom0.0 mi · Windom, MN
Pine View Assisted Living0.0 mi · Windom, MN
Lakeview Assisted Living9.6 mi · Heron Lake, MN
The Lodge of Mountain Lake11 mi · Mountain Lake, MN

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Windom Area Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 10	86%National average: 72%
Would definitely recommend the hospital	88%National average: 71%
Nurses “always” communicated well	89%National average: 80%
Doctors “always” communicated well	88%National average: 80%
“Always” got help as soon as they wanted	73%National average: 64%
Staff “always” explained medicines before giving them	79%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	72%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	64Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Complications after hip or knee replacement	3.3%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from April 2023 to March 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16.4%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: hip or knee replacement	5.2%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	95 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Windom Area Health lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 66 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL 3	$319	$216.92	$121.19 – $303.05
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates Aetna — Medicare Replacement: $140.36 Avera Health Plans — Commercial: $296.67 Blue Cross Blue Shield — Commercial: $267.61 Blue Cross Blue Shield — Managed Medicaid: $121.19 Blue Cross Blue Shield — Medicare Replacement: $140.36 Blue Cross Blue Shield of Minnesota — Commercial: $267.61 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $121.19 Blue Cross Blue Shield of North Dakota — Commercial: $267.61 Blue Cross Blue Shield Wellmark — Commercial: $267.61 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $140.36
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99203 OFFICE OP VISIT NEW PT LEVEL III	$294	$199.92	$76.18 – $140.93
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $76.18 Blue Cross Blue Shield — Medicare Replacement: $76.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $132.30 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $76.18 Health Partners — Commercial: $132.30 Humana — Medicare Replacement: $76.18 Medica — Commercial: $140.93 Medica — Medicare Replacement: $76.18 Medica — PMAP: $132.30 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $76.18
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT LEVEL 3	$44	$29.92	$19.80 – $140.93
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $76.18 Blue Cross Blue Shield — Medicare Replacement: $76.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.80 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $76.18 Health Partners — Commercial: $19.80 Humana — Medicare Replacement: $76.18 Medica — Commercial: $140.93 Medica — Medicare Replacement: $76.18 Medica — PMAP: $19.80 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $76.18
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL 4	$413	$280.84	$156.90 – $392.35
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates Aetna — Medicare Replacement: $181.72 Avera Health Plans — Commercial: $384.09 Blue Cross Blue Shield — Commercial: $346.47 Blue Cross Blue Shield — Managed Medicaid: $156.90 Blue Cross Blue Shield — Medicare Replacement: $181.72 Blue Cross Blue Shield of Minnesota — Commercial: $346.47 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $156.90 Blue Cross Blue Shield of North Dakota — Commercial: $346.47 Blue Cross Blue Shield Wellmark — Commercial: $346.47 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $181.72
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99204 OFFICE OP VISIT NEW PT LEVEL IV	$250	$170	$112.50 – $230.44
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $124.56 Blue Cross Blue Shield — Medicare Replacement: $124.56 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $112.50 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $124.56 Health Partners — Commercial: $112.50 Humana — Medicare Replacement: $124.56 Medica — Commercial: $230.44 Medica — Medicare Replacement: $124.56 Medica — PMAP: $112.50 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $124.56
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT LEVEL 4	$62	$42.16	$27.90 – $230.44
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $124.56 Blue Cross Blue Shield — Medicare Replacement: $124.56 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $27.90 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $124.56 Health Partners — Commercial: $27.90 Humana — Medicare Replacement: $124.56 Medica — Commercial: $230.44 Medica — Medicare Replacement: $124.56 Medica — PMAP: $27.90 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $124.56
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL 5	$552	$375.36	$209.70 – $524.40
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates Aetna — Medicare Replacement: $242.88 Avera Health Plans — Commercial: $513.36 Blue Cross Blue Shield — Commercial: $463.07 Blue Cross Blue Shield — Managed Medicaid: $209.70 Blue Cross Blue Shield — Medicare Replacement: $242.88 Blue Cross Blue Shield of Minnesota — Commercial: $463.07 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $209.70 Blue Cross Blue Shield of North Dakota — Commercial: $463.07 Blue Cross Blue Shield Wellmark — Commercial: $463.07 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $242.88
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99205 OFFICE OP VISIT NEW PT LEVEL V	$320	$217.60	$144 – $313.08
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $169.23 Blue Cross Blue Shield — Medicare Replacement: $169.23 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $144 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $169.23 Health Partners — Commercial: $144 Humana — Medicare Replacement: $169.23 Medica — Commercial: $313.08 Medica — Medicare Replacement: $169.23 Medica — PMAP: $144 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $169.23
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT LEVEL 5	$80	$54.40	$36 – $313.08
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $169.23 Blue Cross Blue Shield — Medicare Replacement: $169.23 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $36 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $169.23 Health Partners — Commercial: $36 Humana — Medicare Replacement: $169.23 Medica — Commercial: $313.08 Medica — Medicare Replacement: $169.23 Medica — PMAP: $36 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $169.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 99213 TREATMENT RM LEVEL III	$218	$148.24	$82.82 – $207.10
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $95.92 Avera Health Plans — Commercial: $202.74 Blue Cross Blue Shield — Commercial: $182.88 Blue Cross Blue Shield — Managed Medicaid: $82.82 Blue Cross Blue Shield — Medicare Replacement: $95.92 Blue Cross Blue Shield of Minnesota — Commercial: $182.88 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $82.82 Blue Cross Blue Shield of North Dakota — Commercial: $182.88 Blue Cross Blue Shield Wellmark — Commercial: $182.88 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $95.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB LEVEL 3	$288	$195.84	$109.41 – $273.60
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates Aetna — Medicare Replacement: $126.72 Avera Health Plans — Commercial: $267.84 Blue Cross Blue Shield — Commercial: $241.60 Blue Cross Blue Shield — Managed Medicaid: $109.41 Blue Cross Blue Shield — Medicare Replacement: $126.72 Blue Cross Blue Shield of Minnesota — Commercial: $241.60 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $109.41 Blue Cross Blue Shield of North Dakota — Commercial: $241.60 Blue Cross Blue Shield Wellmark — Commercial: $241.60 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $126.72
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99213 OFFICE OP VISIT EST PT LEVEL III	$263	$178.84	$61.92 – $118.35
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $61.92 Blue Cross Blue Shield — Medicare Replacement: $61.92 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $118.35 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $61.92 Health Partners — Commercial: $118.35 Humana — Medicare Replacement: $61.92 Medica — Commercial: $114.55 Medica — Medicare Replacement: $61.92 Medica — PMAP: $118.35 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $61.92
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB LEVEL 4	$382	$259.76	$145.12 – $362.90
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates Aetna — Medicare Replacement: $168.08 Avera Health Plans — Commercial: $355.26 Blue Cross Blue Shield — Commercial: $320.46 Blue Cross Blue Shield — Managed Medicaid: $145.12 Blue Cross Blue Shield — Medicare Replacement: $168.08 Blue Cross Blue Shield of Minnesota — Commercial: $320.46 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $145.12 Blue Cross Blue Shield of North Dakota — Commercial: $320.46 Blue Cross Blue Shield Wellmark — Commercial: $320.46 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $168.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99214 OFFICE OP VISIT EST PT LEVEL IV	$397	$269.96	$91.08 – $178.65
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $91.08 Blue Cross Blue Shield — Medicare Replacement: $91.08 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $178.65 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $91.08 Health Partners — Commercial: $178.65 Humana — Medicare Replacement: $91.08 Medica — Commercial: $168.50 Medica — Medicare Replacement: $91.08 Medica — PMAP: $178.65 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $91.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: ESTAB LEVEL 4	$53	$36.04	$23.85 – $168.50
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $91.08 Blue Cross Blue Shield — Medicare Replacement: $91.08 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $23.85 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $91.08 Health Partners — Commercial: $23.85 Humana — Medicare Replacement: $91.08 Medica — Commercial: $168.50 Medica — Medicare Replacement: $91.08 Medica — PMAP: $23.85 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $91.08
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99385 FAC PREVENT MED NEW18-39Y	$76	$51.68	$28.87 – $72.20
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates Aetna — Medicare Replacement: $33.44 Avera Health Plans — Commercial: $70.68 Blue Cross Blue Shield — Commercial: $63.76 Blue Cross Blue Shield — Managed Medicaid: $28.87 Blue Cross Blue Shield — Medicare Replacement: $33.44 Blue Cross Blue Shield of Minnesota — Commercial: $63.76 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $28.87 Blue Cross Blue Shield of North Dakota — Commercial: $63.76 Blue Cross Blue Shield Wellmark — Commercial: $63.76 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $33.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99385 FAC PREVENT MED NEW18-39Y	$76	$51.68	$28.87 – $71.14
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Avera Health Plans — Commercial: $70.68 Blue Cross Blue Shield — Managed Medicaid: $28.87 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $28.87 Health Partners — Commercial: $64.60 Medica — Commercial: $71.14 Medica — PMAP: $37.77 Sanford — Commercial: $45.60 United Healthcare — Commercial: $62.17
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99385 PREVENT MED NEW18-39Y	$306	$208.08	$137.70 – $163.23
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $137.70 Health Partners — Commercial: $137.70 Medica — Commercial: $163.23 Medica — PMAP: $137.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99386 FAC PREVENT MED NEW40-64Y	$88	$59.84	$33.43 – $83.60
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates Aetna — Medicare Replacement: $38.72 Avera Health Plans — Commercial: $81.84 Blue Cross Blue Shield — Commercial: $73.82 Blue Cross Blue Shield — Managed Medicaid: $33.43 Blue Cross Blue Shield — Medicare Replacement: $38.72 Blue Cross Blue Shield of Minnesota — Commercial: $73.82 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $33.43 Blue Cross Blue Shield of North Dakota — Commercial: $73.82 Blue Cross Blue Shield Wellmark — Commercial: $73.82 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $38.72
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99386 FAC PREVENT MED NEW40-64Y	$88	$59.84	$33.43 – $82.37
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Avera Health Plans — Commercial: $81.84 Blue Cross Blue Shield — Managed Medicaid: $33.43 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $33.43 Health Partners — Commercial: $74.80 Medica — Commercial: $82.37 Medica — PMAP: $43.74 Sanford — Commercial: $52.80 United Healthcare — Commercial: $71.98
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99386 PREVENT MED NEW40-64Y	$354	$240.72	$159.30 – $197.93
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $159.30 Health Partners — Commercial: $159.30 Medica — Commercial: $197.93 Medica — PMAP: $159.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$484	$329.12	$183.87 – $459.80
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $212.96 Avera Health Plans — Commercial: $450.12 Blue Cross Blue Shield — Commercial: $406.03 Blue Cross Blue Shield — Managed Medicaid: $183.87 Blue Cross Blue Shield — Medicare Replacement: $212.96 Blue Cross Blue Shield of Minnesota — Commercial: $406.03 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $183.87 Blue Cross Blue Shield of North Dakota — Commercial: $406.03 Blue Cross Blue Shield Wellmark — Commercial: $406.03 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $212.96
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99283 EMERGENCY DEPT VISIT LVL III	$553	$376.04	$64.91 – $248.85
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $64.91 Blue Cross Blue Shield — Medicare Replacement: $64.91 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $248.85 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $64.91 Health Partners — Commercial: $248.85 Humana — Medicare Replacement: $64.91 Medica — Commercial: $120.08 Medica — Medicare Replacement: $64.91 Medica — PMAP: $248.85 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $64.91
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$484	$329.12	$183.87 – $453.02
Emergency room visit (moderate): rates for 8 insurance plans Avera Health Plans — Commercial: $450.12 Blue Cross Blue Shield — Managed Medicaid: $183.87 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $183.87 Health Partners — Commercial: $411.40 Medica — Commercial: $453.02 Medica — PMAP: $240.55 Sanford — Commercial: $290.40 United Healthcare — Commercial: $395.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$687	$467.16	$260.99 – $652.65
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $302.28 Avera Health Plans — Commercial: $638.91 Blue Cross Blue Shield — Commercial: $576.32 Blue Cross Blue Shield — Managed Medicaid: $260.99 Blue Cross Blue Shield — Medicare Replacement: $302.28 Blue Cross Blue Shield of Minnesota — Commercial: $576.32 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $260.99 Blue Cross Blue Shield of North Dakota — Commercial: $576.32 Blue Cross Blue Shield Wellmark — Commercial: $576.32 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $302.28
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99284 EMERGENCY DEPT VISIT LVL IV	$692	$470.56	$110.34 – $311.40
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $110.34 Blue Cross Blue Shield — Medicare Replacement: $110.34 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $311.40 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $110.34 Health Partners — Commercial: $311.40 Humana — Medicare Replacement: $110.34 Medica — Commercial: $204.13 Medica — Medicare Replacement: $110.34 Medica — PMAP: $311.40 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $110.34
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$687	$467.16	$260.99 – $643.03
Emergency room visit (moderately high): rates for 8 insurance plans Avera Health Plans — Commercial: $638.91 Blue Cross Blue Shield — Managed Medicaid: $260.99 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $260.99 Health Partners — Commercial: $583.95 Medica — Commercial: $643.03 Medica — PMAP: $341.44 Sanford — Commercial: $412.20 United Healthcare — Commercial: $561.97
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,063	$722.84	$403.83 – $1,009.85
Emergency room visit (high): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $467.72 Avera Health Plans — Commercial: $988.59 Blue Cross Blue Shield — Commercial: $891.75 Blue Cross Blue Shield — Managed Medicaid: $403.83 Blue Cross Blue Shield — Medicare Replacement: $467.72 Blue Cross Blue Shield of Minnesota — Commercial: $891.75 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $403.83 Blue Cross Blue Shield of North Dakota — Commercial: $891.75 Blue Cross Blue Shield Wellmark — Commercial: $891.75 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $467.72
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99285 EMERGENCY DEPT VISIT LVL V	$831	$565.08	$159.75 – $373.95
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — Medicare Replacement: $159.75 Blue Cross Blue Shield — Medicare Replacement: $159.75 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $373.95 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $159.75 Health Partners — Commercial: $373.95 Humana — Medicare Replacement: $159.75 Medica — Commercial: $295.54 Medica — Medicare Replacement: $159.75 Medica — PMAP: $373.95 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $159.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,063	$722.84	$403.83 – $994.97
Emergency room visit (high): rates for 8 insurance plans Avera Health Plans — Commercial: $988.59 Blue Cross Blue Shield — Managed Medicaid: $403.83 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $403.83 Health Partners — Commercial: $903.55 Medica — Commercial: $994.97 Medica — PMAP: $528.31 Sanford — Commercial: $637.80 United Healthcare — Commercial: $869.53

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$14	$9.52	$5.32 – $13.30
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $6.16 Avera Health Plans — Commercial: $13.02 Blue Cross Blue Shield — Commercial: $11.74 Blue Cross Blue Shield — Managed Medicaid: $5.32 Blue Cross Blue Shield — Medicare Replacement: $6.16 Blue Cross Blue Shield of Minnesota — Commercial: $11.74 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5.32 Blue Cross Blue Shield of North Dakota — Commercial: $11.74 Blue Cross Blue Shield Wellmark — Commercial: $11.74 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $6.16
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$129	$87.72	$49.01 – $120.74
Basic metabolic panel (blood test): rates for 8 insurance plans Avera Health Plans — Commercial: $119.97 Blue Cross Blue Shield — Managed Medicaid: $49.01 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $49.01 Health Partners — Commercial: $109.65 Medica — Commercial: $120.74 Medica — PMAP: $64.11 Sanford — Commercial: $77.40 United Healthcare — Commercial: $105.52
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$24	$16.32	$9.12 – $22.80
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $10.56 Avera Health Plans — Commercial: $22.32 Blue Cross Blue Shield — Commercial: $20.13 Blue Cross Blue Shield — Managed Medicaid: $9.12 Blue Cross Blue Shield — Medicare Replacement: $10.56 Blue Cross Blue Shield of Minnesota — Commercial: $20.13 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $9.12 Blue Cross Blue Shield of North Dakota — Commercial: $20.13 Blue Cross Blue Shield Wellmark — Commercial: $20.13 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$10.56	$7.19	$4.01 – $9.88
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Avera Health Plans — Commercial: $9.82 Blue Cross Blue Shield — Managed Medicaid: $4.01 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $4.01 Health Partners — Commercial: $8.98 Medica — Commercial: $9.88 Medica — PMAP: $5.25 Sanford — Commercial: $6.34 United Healthcare — Commercial: $8.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$86	$58.48	$32.67 – $81.70
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $37.84 Avera Health Plans — Commercial: $79.98 Blue Cross Blue Shield — Commercial: $72.15 Blue Cross Blue Shield — Managed Medicaid: $32.67 Blue Cross Blue Shield — Medicare Replacement: $37.84 Blue Cross Blue Shield of Minnesota — Commercial: $72.15 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $32.67 Blue Cross Blue Shield of North Dakota — Commercial: $72.15 Blue Cross Blue Shield Wellmark — Commercial: $72.15 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $37.84
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$86	$58.48	$32.67 – $80.50
Cholesterol panel (lipid panel): rates for 8 insurance plans Avera Health Plans — Commercial: $79.98 Blue Cross Blue Shield — Managed Medicaid: $32.67 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $32.67 Health Partners — Commercial: $73.10 Medica — Commercial: $80.50 Medica — PMAP: $42.74 Sanford — Commercial: $51.60 United Healthcare — Commercial: $70.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$8.68	$5.91	$3.30 – $8.25
Kidney function panel: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $3.82 Avera Health Plans — Commercial: $8.07 Blue Cross Blue Shield — Commercial: $7.28 Blue Cross Blue Shield — Managed Medicaid: $3.30 Blue Cross Blue Shield — Medicare Replacement: $3.82 Blue Cross Blue Shield of Minnesota — Commercial: $7.28 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3.30 Blue Cross Blue Shield of North Dakota — Commercial: $7.28 Blue Cross Blue Shield Wellmark — Commercial: $7.28 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $3.82
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$24	$16.32	$9.12 – $22.46
Kidney function panel: rates for 8 insurance plans Avera Health Plans — Commercial: $22.32 Blue Cross Blue Shield — Managed Medicaid: $9.12 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $9.12 Health Partners — Commercial: $20.40 Medica — Commercial: $22.46 Medica — PMAP: $11.93 Sanford — Commercial: $14.40 United Healthcare — Commercial: $19.63
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$8.17	$5.56	$3.10 – $7.76
Liver function panel: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $3.59 Avera Health Plans — Commercial: $7.60 Blue Cross Blue Shield — Commercial: $6.85 Blue Cross Blue Shield — Managed Medicaid: $3.10 Blue Cross Blue Shield — Medicare Replacement: $3.59 Blue Cross Blue Shield of Minnesota — Commercial: $6.85 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3.10 Blue Cross Blue Shield of North Dakota — Commercial: $6.85 Blue Cross Blue Shield Wellmark — Commercial: $6.85 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $3.59
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$24	$16.32	$9.12 – $22.46
Liver function panel: rates for 8 insurance plans Avera Health Plans — Commercial: $22.32 Blue Cross Blue Shield — Managed Medicaid: $9.12 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $9.12 Health Partners — Commercial: $20.40 Medica — Commercial: $22.46 Medica — PMAP: $11.93 Sanford — Commercial: $14.40 United Healthcare — Commercial: $19.63
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$119	$80.92	$45.21 – $113.05
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $52.36 Avera Health Plans — Commercial: $110.67 Blue Cross Blue Shield — Commercial: $99.83 Blue Cross Blue Shield — Managed Medicaid: $45.21 Blue Cross Blue Shield — Medicare Replacement: $52.36 Blue Cross Blue Shield of Minnesota — Commercial: $99.83 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $45.21 Blue Cross Blue Shield of North Dakota — Commercial: $99.83 Blue Cross Blue Shield Wellmark — Commercial: $99.83 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $52.36
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$3.17	$2.16	$1.20 – $2.97
Urine test (automated, with microscope): rates for 8 insurance plans Avera Health Plans — Commercial: $2.95 Blue Cross Blue Shield — Managed Medicaid: $1.20 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1.20 Health Partners — Commercial: $2.69 Medica — Commercial: $2.97 Medica — PMAP: $1.58 Sanford — Commercial: $1.90 United Healthcare — Commercial: $2.59
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002	$56	$38.08	$21.27 – $53.20
Urine test (manual, without microscope): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $24.64 Avera Health Plans — Commercial: $52.08 Blue Cross Blue Shield — Commercial: $46.98 Blue Cross Blue Shield — Managed Medicaid: $21.27 Blue Cross Blue Shield — Medicare Replacement: $24.64 Blue Cross Blue Shield of Minnesota — Commercial: $46.98 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $21.27 Blue Cross Blue Shield of North Dakota — Commercial: $46.98 Blue Cross Blue Shield Wellmark — Commercial: $46.98 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $24.64
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002	$56	$38.08	$21.27 – $52.42
Urine test (manual, without microscope): rates for 8 insurance plans Avera Health Plans — Commercial: $52.08 Blue Cross Blue Shield — Managed Medicaid: $21.27 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $21.27 Health Partners — Commercial: $47.60 Medica — Commercial: $52.42 Medica — PMAP: $27.83 Sanford — Commercial: $33.60 United Healthcare — Commercial: $45.81
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003	$2.25	$1.53	$0.85 – $2.14
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $0.99 Avera Health Plans — Commercial: $2.09 Blue Cross Blue Shield — Commercial: $1.89 Blue Cross Blue Shield — Managed Medicaid: $0.85 Blue Cross Blue Shield — Medicare Replacement: $0.99 Blue Cross Blue Shield of Minnesota — Commercial: $1.89 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $0.85 Blue Cross Blue Shield of North Dakota — Commercial: $1.89 Blue Cross Blue Shield Wellmark — Commercial: $1.89 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $0.99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE AUTO NO MICRO SGL ANALYT	$2.25	$1.53	$0.85 – $2.14
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $0.99 Avera Health Plans — Commercial: $2.09 Blue Cross Blue Shield — Commercial: $1.89 Blue Cross Blue Shield — Managed Medicaid: $0.85 Blue Cross Blue Shield — Medicare Replacement: $0.99 Blue Cross Blue Shield of Minnesota — Commercial: $1.89 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $0.85 Blue Cross Blue Shield of North Dakota — Commercial: $1.89 Blue Cross Blue Shield Wellmark — Commercial: $1.89 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $0.99
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE AUTO NO MICRO SGL ANALYT	$61	$41.48	$23.17 – $57.10
Urine test (automated, without microscope): rates for 8 insurance plans Avera Health Plans — Commercial: $56.73 Blue Cross Blue Shield — Managed Medicaid: $23.17 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $23.17 Health Partners — Commercial: $51.85 Medica — Commercial: $57.10 Medica — PMAP: $30.32 Sanford — Commercial: $36.60 United Healthcare — Commercial: $49.90
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$18.39	$12.51	$6.99 – $17.47
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $8.09 Avera Health Plans — Commercial: $17.10 Blue Cross Blue Shield — Commercial: $15.43 Blue Cross Blue Shield — Managed Medicaid: $6.99 Blue Cross Blue Shield — Medicare Replacement: $8.09 Blue Cross Blue Shield of Minnesota — Commercial: $15.43 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $6.99 Blue Cross Blue Shield of North Dakota — Commercial: $15.43 Blue Cross Blue Shield Wellmark — Commercial: $15.43 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $8.09
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$24	$16.32	$9.12 – $22.46
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Avera Health Plans — Commercial: $22.32 Blue Cross Blue Shield — Managed Medicaid: $9.12 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $9.12 Health Partners — Commercial: $20.40 Medica — Commercial: $22.46 Medica — PMAP: $11.93 Sanford — Commercial: $14.40 United Healthcare — Commercial: $19.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$16.80	$11.43	$6.38 – $15.96
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $7.39 Avera Health Plans — Commercial: $15.62 Blue Cross Blue Shield — Commercial: $14.09 Blue Cross Blue Shield — Managed Medicaid: $6.38 Blue Cross Blue Shield — Medicare Replacement: $7.39 Blue Cross Blue Shield of Minnesota — Commercial: $14.09 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $6.38 Blue Cross Blue Shield of North Dakota — Commercial: $14.09 Blue Cross Blue Shield Wellmark — Commercial: $14.09 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $7.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$16.80	$11.43	$6.38 – $15.72
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Avera Health Plans — Commercial: $15.62 Blue Cross Blue Shield — Managed Medicaid: $6.38 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $6.38 Health Partners — Commercial: $14.28 Medica — Commercial: $15.72 Medica — PMAP: $8.35 Sanford — Commercial: $10.08 United Healthcare — Commercial: $13.74
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$7.77	$5.29	$2.95 – $7.38
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $3.42 Avera Health Plans — Commercial: $7.23 Blue Cross Blue Shield — Commercial: $6.52 Blue Cross Blue Shield — Managed Medicaid: $2.95 Blue Cross Blue Shield — Medicare Replacement: $3.42 Blue Cross Blue Shield of Minnesota — Commercial: $6.52 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2.95 Blue Cross Blue Shield of North Dakota — Commercial: $6.52 Blue Cross Blue Shield Wellmark — Commercial: $6.52 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $3.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$20	$13.60	$7.60 – $18.72
Complete blood count (CBC) with differential: rates for 8 insurance plans Avera Health Plans — Commercial: $18.60 Blue Cross Blue Shield — Managed Medicaid: $7.60 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $7.60 Health Partners — Commercial: $17 Medica — Commercial: $18.72 Medica — PMAP: $9.94 Sanford — Commercial: $12 United Healthcare — Commercial: $16.36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$6.47	$4.40	$2.46 – $6.15
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $2.85 Avera Health Plans — Commercial: $6.02 Blue Cross Blue Shield — Commercial: $5.43 Blue Cross Blue Shield — Managed Medicaid: $2.46 Blue Cross Blue Shield — Medicare Replacement: $2.85 Blue Cross Blue Shield of Minnesota — Commercial: $5.43 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2.46 Blue Cross Blue Shield of North Dakota — Commercial: $5.43 Blue Cross Blue Shield Wellmark — Commercial: $5.43 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2.85
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$6.47	$4.40	$2.46 – $6.06
Complete blood count (CBC), automated: rates for 8 insurance plans Avera Health Plans — Commercial: $6.02 Blue Cross Blue Shield — Managed Medicaid: $2.46 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2.46 Health Partners — Commercial: $5.50 Medica — Commercial: $6.06 Medica — PMAP: $3.22 Sanford — Commercial: $3.88 United Healthcare — Commercial: $5.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME 85610	$4.29	$2.92	$1.63 – $4.08
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1.89 Avera Health Plans — Commercial: $3.99 Blue Cross Blue Shield — Commercial: $3.60 Blue Cross Blue Shield — Managed Medicaid: $1.63 Blue Cross Blue Shield — Medicare Replacement: $1.89 Blue Cross Blue Shield of Minnesota — Commercial: $3.60 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1.63 Blue Cross Blue Shield of North Dakota — Commercial: $3.60 Blue Cross Blue Shield Wellmark — Commercial: $3.60 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME 85610	$133	$90.44	$50.53 – $124.49
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Avera Health Plans — Commercial: $123.69 Blue Cross Blue Shield — Managed Medicaid: $50.53 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $50.53 Health Partners — Commercial: $113.05 Medica — Commercial: $124.49 Medica — PMAP: $66.10 Sanford — Commercial: $79.80 United Healthcare — Commercial: $108.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$163	$110.84	$61.92 – $154.85
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $71.72 Avera Health Plans — Commercial: $151.59 Blue Cross Blue Shield — Commercial: $136.74 Blue Cross Blue Shield — Managed Medicaid: $61.92 Blue Cross Blue Shield — Medicare Replacement: $71.72 Blue Cross Blue Shield of Minnesota — Commercial: $136.74 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $61.92 Blue Cross Blue Shield of North Dakota — Commercial: $136.74 Blue Cross Blue Shield Wellmark — Commercial: $136.74 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $71.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$6.01	$4.09	$2.28 – $5.63
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Avera Health Plans — Commercial: $5.59 Blue Cross Blue Shield — Managed Medicaid: $2.28 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2.28 Health Partners — Commercial: $5.11 Medica — Commercial: $5.63 Medica — PMAP: $2.99 Sanford — Commercial: $3.61 United Healthcare — Commercial: $4.92

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,196	$1,493.28	$834.26 – $2,086.20
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $966.24 Avera Health Plans — Commercial: $2,042.28 Blue Cross Blue Shield — Commercial: $1,842.22 Blue Cross Blue Shield — Managed Medicaid: $834.26 Blue Cross Blue Shield — Medicare Replacement: $966.24 Blue Cross Blue Shield of Minnesota — Commercial: $1,842.22 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $834.26 Blue Cross Blue Shield of North Dakota — Commercial: $1,842.22 Blue Cross Blue Shield Wellmark — Commercial: $1,842.22 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $966.24
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$75.11	$51.08	$28.53 – $70.30
CT scan of the head or brain, without contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $69.85 Blue Cross Blue Shield — Managed Medicaid: $28.53 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $28.53 Health Partners — Commercial: $63.84 Medica — Commercial: $70.30 Medica — PMAP: $37.33 Sanford — Commercial: $45.07 United Healthcare — Commercial: $61.44
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$271.04	$184.31	$102.97 – $257.49
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $119.26 Avera Health Plans — Commercial: $252.07 Blue Cross Blue Shield — Commercial: $227.38 Blue Cross Blue Shield — Managed Medicaid: $102.97 Blue Cross Blue Shield — Medicare Replacement: $119.26 Blue Cross Blue Shield of Minnesota — Commercial: $227.38 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $102.97 Blue Cross Blue Shield of North Dakota — Commercial: $227.38 Blue Cross Blue Shield Wellmark — Commercial: $227.38 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $119.26
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$4,757	$3,234.76	$1,807.18 – $4,452.55
MRI of the brain, before and after contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $4,424.01 Blue Cross Blue Shield — Managed Medicaid: $1,807.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,807.18 Health Partners — Commercial: $4,043.45 Medica — Commercial: $4,452.55 Medica — PMAP: $2,364.23 Sanford — Commercial: $2,854.20 United Healthcare — Commercial: $3,891.23
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$357	$242.76	$135.62 – $339.15
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $157.08 Avera Health Plans — Commercial: $332.01 Blue Cross Blue Shield — Commercial: $299.49 Blue Cross Blue Shield — Managed Medicaid: $135.62 Blue Cross Blue Shield — Medicare Replacement: $157.08 Blue Cross Blue Shield of Minnesota — Commercial: $299.49 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $135.62 Blue Cross Blue Shield of North Dakota — Commercial: $299.49 Blue Cross Blue Shield Wellmark — Commercial: $299.49 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $157.08
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$357	$242.76	$135.62 – $334.15
Chest X-ray, 2 views: rates for 8 insurance plans Avera Health Plans — Commercial: $332.01 Blue Cross Blue Shield — Managed Medicaid: $135.62 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $135.62 Health Partners — Commercial: $303.45 Medica — Commercial: $334.15 Medica — PMAP: $177.43 Sanford — Commercial: $214.20 United Healthcare — Commercial: $292.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$33.61	$22.86	$12.77 – $31.93
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $14.79 Avera Health Plans — Commercial: $31.26 Blue Cross Blue Shield — Commercial: $28.20 Blue Cross Blue Shield — Managed Medicaid: $12.77 Blue Cross Blue Shield — Medicare Replacement: $14.79 Blue Cross Blue Shield of Minnesota — Commercial: $28.20 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $12.77 Blue Cross Blue Shield of North Dakota — Commercial: $28.20 Blue Cross Blue Shield Wellmark — Commercial: $28.20 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $14.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$636	$432.48	$241.62 – $595.30
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Avera Health Plans — Commercial: $591.48 Blue Cross Blue Shield — Managed Medicaid: $241.62 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $241.62 Health Partners — Commercial: $540.60 Medica — Commercial: $595.30 Medica — PMAP: $316.09 Sanford — Commercial: $381.60 United Healthcare — Commercial: $520.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$154.45	$105.03	$58.68 – $146.73
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $67.96 Avera Health Plans — Commercial: $143.64 Blue Cross Blue Shield — Commercial: $129.57 Blue Cross Blue Shield — Managed Medicaid: $58.68 Blue Cross Blue Shield — Medicare Replacement: $67.96 Blue Cross Blue Shield of Minnesota — Commercial: $129.57 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $58.68 Blue Cross Blue Shield of North Dakota — Commercial: $129.57 Blue Cross Blue Shield Wellmark — Commercial: $129.57 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $67.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$154.45	$105.03	$58.68 – $144.57
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $143.64 Blue Cross Blue Shield — Managed Medicaid: $58.68 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $58.68 Health Partners — Commercial: $131.28 Medica — Commercial: $144.57 Medica — PMAP: $76.76 Sanford — Commercial: $92.67 United Healthcare — Commercial: $126.34
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$171.92	$116.91	$65.31 – $163.32
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $75.64 Avera Health Plans — Commercial: $159.89 Blue Cross Blue Shield — Commercial: $144.22 Blue Cross Blue Shield — Managed Medicaid: $65.31 Blue Cross Blue Shield — Medicare Replacement: $75.64 Blue Cross Blue Shield of Minnesota — Commercial: $144.22 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $65.31 Blue Cross Blue Shield of North Dakota — Commercial: $144.22 Blue Cross Blue Shield Wellmark — Commercial: $144.22 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $75.64
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$171.92	$116.91	$65.31 – $160.92
CT scan of the pelvis, with contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $159.89 Blue Cross Blue Shield — Managed Medicaid: $65.31 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $65.31 Health Partners — Commercial: $146.13 Medica — Commercial: $160.92 Medica — PMAP: $85.44 Sanford — Commercial: $103.15 United Healthcare — Commercial: $140.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$3,605	$2,451.40	$1,369.54 – $3,424.75
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,586.20 Avera Health Plans — Commercial: $3,352.65 Blue Cross Blue Shield — Commercial: $3,024.23 Blue Cross Blue Shield — Managed Medicaid: $1,369.54 Blue Cross Blue Shield — Medicare Replacement: $1,586.20 Blue Cross Blue Shield of Minnesota — Commercial: $3,024.23 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,369.54 Blue Cross Blue Shield of North Dakota — Commercial: $3,024.23 Blue Cross Blue Shield Wellmark — Commercial: $3,024.23 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,586.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$173.87	$118.24	$66.05 – $162.74
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $161.70 Blue Cross Blue Shield — Managed Medicaid: $66.05 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $66.05 Health Partners — Commercial: $147.79 Medica — Commercial: $162.74 Medica — PMAP: $86.41 Sanford — Commercial: $104.32 United Healthcare — Commercial: $142.23
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$5,745	$3,906.60	$2,182.53 – $5,457.75
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $2,527.80 Avera Health Plans — Commercial: $5,342.85 Blue Cross Blue Shield — Commercial: $4,819.48 Blue Cross Blue Shield — Managed Medicaid: $2,182.53 Blue Cross Blue Shield — Medicare Replacement: $2,527.80 Blue Cross Blue Shield of Minnesota — Commercial: $4,819.48 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,182.53 Blue Cross Blue Shield of North Dakota — Commercial: $4,819.48 Blue Cross Blue Shield Wellmark — Commercial: $4,819.48 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,527.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$5,745	$3,906.60	$2,182.53 – $5,377.32
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Avera Health Plans — Commercial: $5,342.85 Blue Cross Blue Shield — Managed Medicaid: $2,182.53 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,182.53 Health Partners — Commercial: $4,883.25 Medica — Commercial: $5,377.32 Medica — PMAP: $2,855.27 Sanford — Commercial: $3,447 United Healthcare — Commercial: $4,699.41
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$84.93	$57.76	$32.26 – $80.68
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $37.37 Avera Health Plans — Commercial: $78.98 Blue Cross Blue Shield — Commercial: $71.25 Blue Cross Blue Shield — Managed Medicaid: $32.26 Blue Cross Blue Shield — Medicare Replacement: $37.37 Blue Cross Blue Shield of Minnesota — Commercial: $71.25 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $32.26 Blue Cross Blue Shield of North Dakota — Commercial: $71.25 Blue Cross Blue Shield Wellmark — Commercial: $71.25 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $37.37
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$1,234	$839.12	$468.80 – $1,155.02
Ultrasound of the abdomen, complete: rates for 8 insurance plans Avera Health Plans — Commercial: $1,147.62 Blue Cross Blue Shield — Managed Medicaid: $468.80 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $468.80 Health Partners — Commercial: $1,048.90 Medica — Commercial: $1,155.02 Medica — PMAP: $613.30 Sanford — Commercial: $740.40 United Healthcare — Commercial: $1,009.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$95.12	$64.69	$36.14 – $90.36
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $41.85 Avera Health Plans — Commercial: $88.46 Blue Cross Blue Shield — Commercial: $79.80 Blue Cross Blue Shield — Managed Medicaid: $36.14 Blue Cross Blue Shield — Medicare Replacement: $41.85 Blue Cross Blue Shield of Minnesota — Commercial: $79.80 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $36.14 Blue Cross Blue Shield of North Dakota — Commercial: $79.80 Blue Cross Blue Shield Wellmark — Commercial: $79.80 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $41.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$1,009	$686.12	$383.32 – $944.42
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Avera Health Plans — Commercial: $938.37 Blue Cross Blue Shield — Managed Medicaid: $383.32 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $383.32 Health Partners — Commercial: $857.65 Medica — Commercial: $944.42 Medica — PMAP: $501.47 Sanford — Commercial: $605.40 United Healthcare — Commercial: $825.36
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$1,187	$807.16	$450.94 – $1,127.65
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $522.28 Avera Health Plans — Commercial: $1,103.91 Blue Cross Blue Shield — Commercial: $995.77 Blue Cross Blue Shield — Managed Medicaid: $450.94 Blue Cross Blue Shield — Medicare Replacement: $522.28 Blue Cross Blue Shield of Minnesota — Commercial: $995.77 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $450.94 Blue Cross Blue Shield of North Dakota — Commercial: $995.77 Blue Cross Blue Shield Wellmark — Commercial: $995.77 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $522.28
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$90.39	$61.47	$34.34 – $84.61
Transvaginal ultrasound: rates for 8 insurance plans Avera Health Plans — Commercial: $84.06 Blue Cross Blue Shield — Managed Medicaid: $34.34 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $34.34 Health Partners — Commercial: $76.83 Medica — Commercial: $84.61 Medica — PMAP: $44.92 Sanford — Commercial: $54.23 United Healthcare — Commercial: $73.94
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$1,099	$747.32	$417.51 – $1,044.05
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $483.56 Avera Health Plans — Commercial: $1,022.07 Blue Cross Blue Shield — Commercial: $921.95 Blue Cross Blue Shield — Managed Medicaid: $417.51 Blue Cross Blue Shield — Medicare Replacement: $483.56 Blue Cross Blue Shield of Minnesota — Commercial: $921.95 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $417.51 Blue Cross Blue Shield of North Dakota — Commercial: $921.95 Blue Cross Blue Shield Wellmark — Commercial: $921.95 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $483.56
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$1,099	$747.32	$417.51 – $1,028.66
Diagnostic mammogram, one breast: rates for 8 insurance plans Avera Health Plans — Commercial: $1,022.07 Blue Cross Blue Shield — Managed Medicaid: $417.51 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $417.51 Health Partners — Commercial: $934.15 Medica — Commercial: $1,028.66 Medica — PMAP: $546.20 Sanford — Commercial: $659.40 United Healthcare — Commercial: $898.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$1,360	$924.80	$516.66 – $1,292
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $598.40 Avera Health Plans — Commercial: $1,264.80 Blue Cross Blue Shield — Commercial: $1,140.90 Blue Cross Blue Shield — Managed Medicaid: $516.66 Blue Cross Blue Shield — Medicare Replacement: $598.40 Blue Cross Blue Shield of Minnesota — Commercial: $1,140.90 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $516.66 Blue Cross Blue Shield of North Dakota — Commercial: $1,140.90 Blue Cross Blue Shield Wellmark — Commercial: $1,140.90 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $598.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$1,360	$924.80	$516.66 – $1,272.96
Diagnostic mammogram, both breasts: rates for 8 insurance plans Avera Health Plans — Commercial: $1,264.80 Blue Cross Blue Shield — Managed Medicaid: $516.66 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $516.66 Health Partners — Commercial: $1,156 Medica — Commercial: $1,272.96 Medica — PMAP: $675.92 Sanford — Commercial: $816 United Healthcare — Commercial: $1,112.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52	$658	$447.44	$249.97 – $625.10
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $289.52 Avera Health Plans — Commercial: $611.94 Blue Cross Blue Shield — Commercial: $552 Blue Cross Blue Shield — Managed Medicaid: $249.97 Blue Cross Blue Shield — Medicare Replacement: $289.52 Blue Cross Blue Shield of Minnesota — Commercial: $552 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $249.97 Blue Cross Blue Shield of North Dakota — Commercial: $552 Blue Cross Blue Shield Wellmark — Commercial: $552 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $289.52
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$658	$447.44	$249.97 – $625.10
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $289.52 Avera Health Plans — Commercial: $611.94 Blue Cross Blue Shield — Commercial: $552 Blue Cross Blue Shield — Managed Medicaid: $249.97 Blue Cross Blue Shield — Medicare Replacement: $289.52 Blue Cross Blue Shield of Minnesota — Commercial: $552 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $249.97 Blue Cross Blue Shield of North Dakota — Commercial: $552 Blue Cross Blue Shield Wellmark — Commercial: $552 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $289.52
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$658	$447.44	$249.97 – $615.89
Screening mammogram, both breasts: rates for 8 insurance plans Avera Health Plans — Commercial: $611.94 Blue Cross Blue Shield — Managed Medicaid: $249.97 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $249.97 Health Partners — Commercial: $559.30 Medica — Commercial: $615.89 Medica — PMAP: $327.03 Sanford — Commercial: $394.80 United Healthcare — Commercial: $538.24

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$4,080	$2,774.40	$1,549.99 – $3,876
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,795.20 Avera Health Plans — Commercial: $3,794.40 Blue Cross Blue Shield — Commercial: $3,422.71 Blue Cross Blue Shield — Managed Medicaid: $1,549.99 Blue Cross Blue Shield — Medicare Replacement: $1,795.20 Blue Cross Blue Shield of Minnesota — Commercial: $3,422.71 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,549.99 Blue Cross Blue Shield of North Dakota — Commercial: $3,422.71 Blue Cross Blue Shield Wellmark — Commercial: $3,422.71 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,795.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$4,080	$2,774.40	$1,549.99 – $3,818.88
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Avera Health Plans — Commercial: $3,794.40 Blue Cross Blue Shield — Managed Medicaid: $1,549.99 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,549.99 Health Partners — Commercial: $3,468 Medica — Commercial: $3,818.88 Medica — PMAP: $2,027.76 Sanford — Commercial: $2,448 United Healthcare — Commercial: $3,337.44

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$154	$104.72	$58.50 – $146.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $67.76 Avera Health Plans — Commercial: $143.22 Blue Cross Blue Shield — Commercial: $129.19 Blue Cross Blue Shield — Managed Medicaid: $58.50 Blue Cross Blue Shield — Medicare Replacement: $67.76 Blue Cross Blue Shield of Minnesota — Commercial: $129.19 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $58.50 Blue Cross Blue Shield of North Dakota — Commercial: $129.19 Blue Cross Blue Shield Wellmark — Commercial: $129.19 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $67.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$154	$104.72	$58.50 – $144.14
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Avera Health Plans — Commercial: $143.22 Blue Cross Blue Shield — Managed Medicaid: $58.50 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $58.50 Health Partners — Commercial: $130.90 Medica — Commercial: $144.14 Medica — PMAP: $76.54 Sanford — Commercial: $92.40 United Healthcare — Commercial: $125.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$210	$142.80	$79.78 – $199.50
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $92.40 Avera Health Plans — Commercial: $195.30 Blue Cross Blue Shield — Commercial: $176.17 Blue Cross Blue Shield — Managed Medicaid: $79.78 Blue Cross Blue Shield — Medicare Replacement: $92.40 Blue Cross Blue Shield of Minnesota — Commercial: $176.17 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $79.78 Blue Cross Blue Shield of North Dakota — Commercial: $176.17 Blue Cross Blue Shield Wellmark — Commercial: $176.17 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $92.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$210	$142.80	$79.78 – $196.56
Physical therapy evaluation (low complexity): rates for 8 insurance plans Avera Health Plans — Commercial: $195.30 Blue Cross Blue Shield — Managed Medicaid: $79.78 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $79.78 Health Partners — Commercial: $178.50 Medica — Commercial: $196.56 Medica — PMAP: $104.37 Sanford — Commercial: $126 United Healthcare — Commercial: $171.78
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$250	$170	$94.98 – $237.50
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $110 Avera Health Plans — Commercial: $232.50 Blue Cross Blue Shield — Commercial: $209.73 Blue Cross Blue Shield — Managed Medicaid: $94.98 Blue Cross Blue Shield — Medicare Replacement: $110 Blue Cross Blue Shield of Minnesota — Commercial: $209.73 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $94.98 Blue Cross Blue Shield of North Dakota — Commercial: $209.73 Blue Cross Blue Shield Wellmark — Commercial: $209.73 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $110
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$250	$170	$94.98 – $234
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Avera Health Plans — Commercial: $232.50 Blue Cross Blue Shield — Managed Medicaid: $94.98 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $94.98 Health Partners — Commercial: $212.50 Medica — Commercial: $234 Medica — PMAP: $124.25 Sanford — Commercial: $150 United Healthcare — Commercial: $204.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$290	$197.20	$110.17 – $275.50
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $127.60 Avera Health Plans — Commercial: $269.70 Blue Cross Blue Shield — Commercial: $243.28 Blue Cross Blue Shield — Managed Medicaid: $110.17 Blue Cross Blue Shield — Medicare Replacement: $127.60 Blue Cross Blue Shield of Minnesota — Commercial: $243.28 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $110.17 Blue Cross Blue Shield of North Dakota — Commercial: $243.28 Blue Cross Blue Shield Wellmark — Commercial: $243.28 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $127.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$290	$197.20	$110.17 – $271.44
Physical therapy evaluation (high complexity): rates for 8 insurance plans Avera Health Plans — Commercial: $269.70 Blue Cross Blue Shield — Managed Medicaid: $110.17 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $110.17 Health Partners — Commercial: $246.50 Medica — Commercial: $271.44 Medica — PMAP: $144.13 Sanford — Commercial: $174 United Healthcare — Commercial: $237.22
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES	$52	$35.36	$19.75 – $49.40
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $22.88 Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Commercial: $43.62 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield — Medicare Replacement: $22.88 Blue Cross Blue Shield of Minnesota — Commercial: $43.62 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Blue Cross Blue Shield of North Dakota — Commercial: $43.62 Blue Cross Blue Shield Wellmark — Commercial: $43.62 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $22.88
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES	$121	$82.28	$54.45 – $126.13
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $68.18 Blue Cross Blue Shield — Medicare Replacement: $68.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $54.45 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $68.18 Health Partners — Commercial: $54.45 Humana — Medicare Replacement: $68.18 Medica — Commercial: $126.13 Medica — Medicare Replacement: $68.18 Medica — PMAP: $54.45 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $68.18
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES	$52	$35.36	$19.75 – $48.67
Psychotherapy, 30 minutes: rates for 8 insurance plans Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Health Partners — Commercial: $44.20 Medica — Commercial: $48.67 Medica — PMAP: $25.84 Sanford — Commercial: $31.20 United Healthcare — Commercial: $42.54
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES	$64	$43.52	$24.31 – $60.80
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $28.16 Avera Health Plans — Commercial: $59.52 Blue Cross Blue Shield — Commercial: $53.69 Blue Cross Blue Shield — Managed Medicaid: $24.31 Blue Cross Blue Shield — Medicare Replacement: $28.16 Blue Cross Blue Shield of Minnesota — Commercial: $53.69 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $24.31 Blue Cross Blue Shield of North Dakota — Commercial: $53.69 Blue Cross Blue Shield Wellmark — Commercial: $53.69 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $28.16
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES	$152	$103.36	$68.40 – $166.52
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $90.01 Blue Cross Blue Shield — Medicare Replacement: $90.01 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $68.40 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $90.01 Health Partners — Commercial: $68.40 Humana — Medicare Replacement: $90.01 Medica — Commercial: $166.52 Medica — Medicare Replacement: $90.01 Medica — PMAP: $68.40 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $90.01
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES	$64	$43.52	$24.31 – $59.90
Psychotherapy, 45 minutes: rates for 8 insurance plans Avera Health Plans — Commercial: $59.52 Blue Cross Blue Shield — Managed Medicaid: $24.31 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $24.31 Health Partners — Commercial: $54.40 Medica — Commercial: $59.90 Medica — PMAP: $31.81 Sanford — Commercial: $38.40 United Healthcare — Commercial: $52.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES	$78	$53.04	$29.63 – $74.10
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $34.32 Avera Health Plans — Commercial: $72.54 Blue Cross Blue Shield — Commercial: $65.43 Blue Cross Blue Shield — Managed Medicaid: $29.63 Blue Cross Blue Shield — Medicare Replacement: $34.32 Blue Cross Blue Shield of Minnesota — Commercial: $65.43 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $29.63 Blue Cross Blue Shield of North Dakota — Commercial: $65.43 Blue Cross Blue Shield Wellmark — Commercial: $65.43 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $34.32
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES	$182	$123.76	$81.90 – $246.25
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $133.11 Blue Cross Blue Shield — Medicare Replacement: $133.11 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $81.90 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $133.11 Health Partners — Commercial: $81.90 Humana — Medicare Replacement: $133.11 Medica — Commercial: $246.25 Medica — Medicare Replacement: $133.11 Medica — PMAP: $81.90 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $133.11
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES	$78	$53.04	$29.63 – $73.01
Psychotherapy, 60 minutes: rates for 8 insurance plans Avera Health Plans — Commercial: $72.54 Blue Cross Blue Shield — Managed Medicaid: $29.63 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $29.63 Health Partners — Commercial: $66.30 Medica — Commercial: $73.01 Medica — PMAP: $38.77 Sanford — Commercial: $46.80 United Healthcare — Commercial: $63.80
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY FAMILY WO PATIENT	$52	$35.36	$19.75 – $49.40
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $22.88 Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Commercial: $43.62 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield — Medicare Replacement: $22.88 Blue Cross Blue Shield of Minnesota — Commercial: $43.62 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Blue Cross Blue Shield of North Dakota — Commercial: $43.62 Blue Cross Blue Shield Wellmark — Commercial: $43.62 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $22.88
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90846 FAMILY THERAPY PT NOT	$121	$82.28	$54.45 – $179.93
Family psychotherapy, without the patient: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $97.26 Blue Cross Blue Shield — Medicare Replacement: $97.26 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $54.45 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $97.26 Health Partners — Commercial: $54.45 Humana — Medicare Replacement: $97.26 Medica — Commercial: $179.93 Medica — Medicare Replacement: $97.26 Medica — PMAP: $54.45 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $97.26
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY FAMILY WO PATIENT	$52	$35.36	$19.75 – $48.67
Family psychotherapy, without the patient: rates for 8 insurance plans Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Health Partners — Commercial: $44.20 Medica — Commercial: $48.67 Medica — PMAP: $25.84 Sanford — Commercial: $31.20 United Healthcare — Commercial: $42.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY FAMILY WPATIENT	$52	$35.36	$19.75 – $49.40
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $22.88 Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Commercial: $43.62 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield — Medicare Replacement: $22.88 Blue Cross Blue Shield of Minnesota — Commercial: $43.62 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Blue Cross Blue Shield of North Dakota — Commercial: $43.62 Blue Cross Blue Shield Wellmark — Commercial: $43.62 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $22.88
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90847 FAMILY THERAPY	$121	$82.28	$54.45 – $187.74
Family psychotherapy, with the patient: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $101.48 Blue Cross Blue Shield — Medicare Replacement: $101.48 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $54.45 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $101.48 Health Partners — Commercial: $54.45 Humana — Medicare Replacement: $101.48 Medica — Commercial: $187.74 Medica — Medicare Replacement: $101.48 Medica — PMAP: $54.45 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $101.48
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY FAMILY WPATIENT	$52	$35.36	$19.75 – $48.67
Family psychotherapy, with the patient: rates for 8 insurance plans Avera Health Plans — Commercial: $48.36 Blue Cross Blue Shield — Managed Medicaid: $19.75 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $19.75 Health Partners — Commercial: $44.20 Medica — Commercial: $48.67 Medica — PMAP: $25.84 Sanford — Commercial: $31.20 United Healthcare — Commercial: $42.54
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY GROUP	$20	$13.60	$7.60 – $19
Group psychotherapy: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $8.80 Avera Health Plans — Commercial: $18.60 Blue Cross Blue Shield — Commercial: $16.78 Blue Cross Blue Shield — Managed Medicaid: $7.60 Blue Cross Blue Shield — Medicare Replacement: $8.80 Blue Cross Blue Shield of Minnesota — Commercial: $16.78 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $7.60 Blue Cross Blue Shield of North Dakota — Commercial: $16.78 Blue Cross Blue Shield Wellmark — Commercial: $16.78 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $8.80
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90853 PSYCHOTHERAPY GROUP	$46	$31.28	$20.70 – $44.16
Group psychotherapy: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $23.87 Blue Cross Blue Shield — Medicare Replacement: $23.87 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $20.70 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $23.87 Health Partners — Commercial: $20.70 Humana — Medicare Replacement: $23.87 Medica — Commercial: $44.16 Medica — Medicare Replacement: $23.87 Medica — PMAP: $20.70 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $23.87
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY GROUP	$20	$13.60	$7.60 – $18.72
Group psychotherapy: rates for 8 insurance plans Avera Health Plans — Commercial: $18.60 Blue Cross Blue Shield — Managed Medicaid: $7.60 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $7.60 Health Partners — Commercial: $17 Medica — Commercial: $18.72 Medica — PMAP: $9.94 Sanford — Commercial: $12 United Healthcare — Commercial: $16.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHOPLASTY	$13,925	$9,469	$5,290.11 – $13,228.75
Total hip replacement: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $6,127 Avera Health Plans — Commercial: $12,950.25 Blue Cross Blue Shield — Commercial: $11,681.68 Blue Cross Blue Shield — Managed Medicaid: $5,290.11 Blue Cross Blue Shield — Medicare Replacement: $6,127 Blue Cross Blue Shield of Minnesota — Commercial: $11,681.68 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,290.11 Blue Cross Blue Shield of North Dakota — Commercial: $11,681.68 Blue Cross Blue Shield Wellmark — Commercial: $11,681.68 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $6,127
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 27130 ARTHROPL HIP TTL	$5,500	$3,740	$1,181.31 – $2,475
Total hip replacement: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $1,181.31 Blue Cross Blue Shield — Medicare Replacement: $1,181.31 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,475 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,181.31 Health Partners — Commercial: $2,475 Humana — Medicare Replacement: $1,181.31 Medica — Commercial: $2,185.42 Medica — Medicare Replacement: $1,181.31 Medica — PMAP: $2,475 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,181.31
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHOPLASTY	$13,925	$9,469	$5,290.11 – $13,033.80
Total hip replacement: rates for 8 insurance plans Avera Health Plans — Commercial: $12,950.25 Blue Cross Blue Shield — Managed Medicaid: $5,290.11 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,290.11 Health Partners — Commercial: $11,836.25 Medica — Commercial: $13,033.80 Medica — PMAP: $6,920.73 Sanford — Commercial: $8,355 United Healthcare — Commercial: $11,390.65
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$13,925	$9,469	$5,290.11 – $13,228.75
Total knee replacement: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $6,127 Avera Health Plans — Commercial: $12,950.25 Blue Cross Blue Shield — Commercial: $11,681.68 Blue Cross Blue Shield — Managed Medicaid: $5,290.11 Blue Cross Blue Shield — Medicare Replacement: $6,127 Blue Cross Blue Shield of Minnesota — Commercial: $11,681.68 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,290.11 Blue Cross Blue Shield of North Dakota — Commercial: $11,681.68 Blue Cross Blue Shield Wellmark — Commercial: $11,681.68 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $6,127
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 27447 ARTHROPL KNE TIB FEM	$5,500	$3,740	$1,179.89 – $2,475
Total knee replacement: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $1,179.89 Blue Cross Blue Shield — Medicare Replacement: $1,179.89 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,475 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,179.89 Health Partners — Commercial: $2,475 Humana — Medicare Replacement: $1,179.89 Medica — Commercial: $2,182.80 Medica — Medicare Replacement: $1,179.89 Medica — PMAP: $2,475 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,179.89
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$13,925	$9,469	$5,290.11 – $13,033.80
Total knee replacement: rates for 8 insurance plans Avera Health Plans — Commercial: $12,950.25 Blue Cross Blue Shield — Managed Medicaid: $5,290.11 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,290.11 Health Partners — Commercial: $11,836.25 Medica — Commercial: $13,033.80 Medica — PMAP: $6,920.73 Sanford — Commercial: $8,355 United Healthcare — Commercial: $11,390.65
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY	$10,100	$6,868	$3,836.99 – $9,595
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $4,444 Avera Health Plans — Commercial: $9,393 Blue Cross Blue Shield — Commercial: $8,472.89 Blue Cross Blue Shield — Managed Medicaid: $3,836.99 Blue Cross Blue Shield — Medicare Replacement: $4,444 Blue Cross Blue Shield of Minnesota — Commercial: $8,472.89 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3,836.99 Blue Cross Blue Shield of North Dakota — Commercial: $8,472.89 Blue Cross Blue Shield Wellmark — Commercial: $8,472.89 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $4,444
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 29826 DEC SUBACR SPC SCOPE	$1,450	$986	$154.49 – $652.50
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $154.49 Blue Cross Blue Shield — Medicare Replacement: $154.49 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $652.50 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $154.49 Health Partners — Commercial: $652.50 Humana — Medicare Replacement: $154.49 Medica — Commercial: $285.81 Medica — Medicare Replacement: $154.49 Medica — PMAP: $652.50 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $154.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY	$10,100	$6,868	$3,836.99 – $9,453.60
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Avera Health Plans — Commercial: $9,393 Blue Cross Blue Shield — Managed Medicaid: $3,836.99 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3,836.99 Health Partners — Commercial: $8,585 Medica — Commercial: $9,453.60 Medica — PMAP: $5,019.70 Sanford — Commercial: $6,060 United Healthcare — Commercial: $8,261.80
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43235 EGD	$805	$547.40	$112.99 – $3,458
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare Replacement: $112.99 Blue Cross Blue Shield — Commercial: $3,458 Blue Cross Blue Shield — Managed Medicaid: $1,729 Blue Cross Blue Shield — Medicare Replacement: $112.99 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $362.25 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $112.99 Health Partners — Commercial: $362.25 Humana — Medicare Replacement: $112.99 Medica — Commercial: $209.03 Medica — Medicare Replacement: $112.99
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 43239 UPPER GI BX	$2,958	$2,011.44	$1,123.74 – $2,810.10
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,301.52 Avera Health Plans — Commercial: $2,750.94 Blue Cross Blue Shield — Commercial: $2,481.47 Blue Cross Blue Shield — Managed Medicaid: $1,123.74 Blue Cross Blue Shield — Medicare Replacement: $1,301.52 Blue Cross Blue Shield of Minnesota — Commercial: $2,481.47 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,123.74 Blue Cross Blue Shield of North Dakota — Commercial: $2,481.47 Blue Cross Blue Shield Wellmark — Commercial: $2,481.47 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,301.52
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43239 EGD W BIOPSY	$1,093	$743.24	$127.20 – $3,458
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare Replacement: $127.20 Blue Cross Blue Shield — Commercial: $3,458 Blue Cross Blue Shield — Managed Medicaid: $1,729 Blue Cross Blue Shield — Medicare Replacement: $127.20 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $491.85 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $127.20 Health Partners — Commercial: $491.85 Humana — Medicare Replacement: $127.20 Medica — Commercial: $235.32 Medica — Medicare Replacement: $127.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 43239 UPPER GI BX	$2,958	$2,011.44	$1,123.74 – $2,768.69
Upper GI endoscopy with biopsy: rates for 8 insurance plans Avera Health Plans — Commercial: $2,750.94 Blue Cross Blue Shield — Managed Medicaid: $1,123.74 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,123.74 Health Partners — Commercial: $2,514.30 Medica — Commercial: $2,768.69 Medica — PMAP: $1,470.13 Sanford — Commercial: $1,774.80 United Healthcare — Commercial: $2,419.64
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45378 COLONOSCOPY FLEXIBLE	$1,039	$706.52	$168.97 – $3,487
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare Replacement: $168.97 Blue Cross Blue Shield — Commercial: $3,487 Blue Cross Blue Shield — Managed Medicaid: $1,743.50 Blue Cross Blue Shield — Medicare Replacement: $168.97 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $467.55 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $168.97 Health Partners — Commercial: $467.55 Humana — Medicare Replacement: $168.97 Medica — Commercial: $312.59 Medica — Medicare Replacement: $168.97
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$84.70
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Medicare Replacement: $84.70 Blue Cross Blue Shield — Medicare Replacement: $84.70 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $84.70 Humana — Medicare Replacement: $84.70 Medica — Medicare Replacement: $84.70 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $84.70 Primewest Minnesota Senior Health Options (MSHO) — Medicare Replacement: $84.70 UCare for Seniors — Medicare Replacement: $84.70 Ucare Minnesota Senior Health Options (MSHO) — Medicare Replacement: $84.70 United Healthcare — Medicare Replacement: $84.70
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON WBX	$3,595	$2,444.60	$1,365.74 – $3,415.25
Colonoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,581.80 Avera Health Plans — Commercial: $3,343.35 Blue Cross Blue Shield — Commercial: $3,015.85 Blue Cross Blue Shield — Managed Medicaid: $1,365.74 Blue Cross Blue Shield — Medicare Replacement: $1,581.80 Blue Cross Blue Shield of Minnesota — Commercial: $3,015.85 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,365.74 Blue Cross Blue Shield of North Dakota — Commercial: $3,015.85 Blue Cross Blue Shield Wellmark — Commercial: $3,015.85 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,581.80
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45380 COLONOSCOPY W BX	$1,419	$964.92	$183.70 – $4,502
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare Replacement: $183.70 Blue Cross Blue Shield — Commercial: $4,502 Blue Cross Blue Shield — Managed Medicaid: $2,251 Blue Cross Blue Shield — Medicare Replacement: $183.70 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $638.55 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $183.70 Health Partners — Commercial: $638.55 Humana — Medicare Replacement: $183.70 Medica — Commercial: $339.85 Medica — Medicare Replacement: $183.70
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON WBX	$3,595	$2,444.60	$1,365.74 – $3,364.92
Colonoscopy with biopsy: rates for 8 insurance plans Avera Health Plans — Commercial: $3,343.35 Blue Cross Blue Shield — Managed Medicaid: $1,365.74 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,365.74 Health Partners — Commercial: $3,055.75 Medica — Commercial: $3,364.92 Medica — PMAP: $1,786.72 Sanford — Commercial: $2,157 United Healthcare — Commercial: $2,940.71
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON WREM TUMOR SNARE	$3,568	$2,426.24	$1,355.48 – $3,389.60
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,569.92 Avera Health Plans — Commercial: $3,318.24 Blue Cross Blue Shield — Commercial: $2,993.20 Blue Cross Blue Shield — Managed Medicaid: $1,355.48 Blue Cross Blue Shield — Medicare Replacement: $1,569.92 Blue Cross Blue Shield of Minnesota — Commercial: $2,993.20 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,355.48 Blue Cross Blue Shield of North Dakota — Commercial: $2,993.20 Blue Cross Blue Shield Wellmark — Commercial: $2,993.20 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,569.92
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45385 COLONOSC W POLYPECT	$1,504	$1,022.72	$232.17 – $4,502
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Medicare Replacement: $232.17 Blue Cross Blue Shield — Commercial: $4,502 Blue Cross Blue Shield — Managed Medicaid: $2,251 Blue Cross Blue Shield — Medicare Replacement: $232.17 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $676.80 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $232.17 Health Partners — Commercial: $676.80 Humana — Medicare Replacement: $232.17 Medica — Commercial: $429.51 Medica — Medicare Replacement: $232.17
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON WREM TUMOR SNARE	$3,568	$2,426.24	$1,355.48 – $3,339.65
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Avera Health Plans — Commercial: $3,318.24 Blue Cross Blue Shield — Managed Medicaid: $1,355.48 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,355.48 Health Partners — Commercial: $3,032.80 Medica — Commercial: $3,339.65 Medica — PMAP: $1,773.30 Sanford — Commercial: $2,140.80 United Healthcare — Commercial: $2,918.62
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN COLON WO HI RISK	$4,150	$2,822	$1,576.59 – $3,942.50
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,826 Avera Health Plans — Commercial: $3,859.50 Blue Cross Blue Shield — Commercial: $3,481.44 Blue Cross Blue Shield — Managed Medicaid: $1,576.59 Blue Cross Blue Shield — Medicare Replacement: $1,826 Blue Cross Blue Shield of Minnesota — Commercial: $3,481.44 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,576.59 Blue Cross Blue Shield of North Dakota — Commercial: $3,481.44 Blue Cross Blue Shield Wellmark — Commercial: $3,481.44 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,826
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PF G0121 COLON CANC SCR NON-HR	$1,144	$777.92	$169.07 – $3,051
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Medicare Replacement: $169.07 Blue Cross Blue Shield — Commercial: $3,051 Blue Cross Blue Shield — Managed Medicaid: $1,525.50 Blue Cross Blue Shield — Medicare Replacement: $169.07 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $514.80 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $169.07 Health Partners — Commercial: $514.80 Humana — Medicare Replacement: $169.07 Medica — Commercial: $312.78 Medica — Medicare Replacement: $169.07
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREEN COLON WO HI RISK	$4,150	$2,822	$1,576.59 – $3,884.40
Screening colonoscopy (not high risk): rates for 8 insurance plans Avera Health Plans — Commercial: $3,859.50 Blue Cross Blue Shield — Managed Medicaid: $1,576.59 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,576.59 Health Partners — Commercial: $3,527.50 Medica — Commercial: $3,884.40 Medica — PMAP: $2,062.55 Sanford — Commercial: $2,490 United Healthcare — Commercial: $3,394.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 47562 LAP CHOLECYSTECTOMY	$15,318	$10,416.24	$5,819.31 – $14,552.10
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $6,739.92 Avera Health Plans — Commercial: $14,245.74 Blue Cross Blue Shield — Commercial: $12,850.27 Blue Cross Blue Shield — Managed Medicaid: $5,819.31 Blue Cross Blue Shield — Medicare Replacement: $6,739.92 Blue Cross Blue Shield of Minnesota — Commercial: $12,850.27 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,819.31 Blue Cross Blue Shield of North Dakota — Commercial: $12,850.27 Blue Cross Blue Shield Wellmark — Commercial: $12,850.27 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $6,739.92
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 47562 LAP CHOLECYSTECTOMY	$2,288	$1,555.84	$595.18 – $1,101.08
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $595.18 Blue Cross Blue Shield — Medicare Replacement: $595.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,029.60 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $595.18 Health Partners — Commercial: $1,029.60 Humana — Medicare Replacement: $595.18 Medica — Commercial: $1,101.08 Medica — Medicare Replacement: $595.18 Medica — PMAP: $1,029.60 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $595.18
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 47562 LAP CHOLECYSTECTOMY	$15,318	$10,416.24	$5,819.31 – $14,337.65
Gallbladder removal by laparoscope: rates for 8 insurance plans Avera Health Plans — Commercial: $14,245.74 Blue Cross Blue Shield — Managed Medicaid: $5,819.31 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $5,819.31 Health Partners — Commercial: $13,020.30 Medica — Commercial: $14,337.65 Medica — PMAP: $7,613.05 Sanford — Commercial: $9,190.80 United Healthcare — Commercial: $12,530.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 49505 RPR INGUINAL HERNIA>5	$1,700	$1,156	$475.39 – $879.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $475.39 Blue Cross Blue Shield — Medicare Replacement: $475.39 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $765 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $475.39 Health Partners — Commercial: $765 Humana — Medicare Replacement: $475.39 Medica — Commercial: $879.47 Medica — Medicare Replacement: $475.39 Medica — PMAP: $765 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $475.39
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C	$9,074	$6,170.32	$3,447.21 – $8,620.30
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $3,992.56 Avera Health Plans — Commercial: $8,438.82 Blue Cross Blue Shield — Commercial: $7,612.18 Blue Cross Blue Shield — Managed Medicaid: $3,447.21 Blue Cross Blue Shield — Medicare Replacement: $3,992.56 Blue Cross Blue Shield of Minnesota — Commercial: $7,612.18 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3,447.21 Blue Cross Blue Shield of North Dakota — Commercial: $7,612.18 Blue Cross Blue Shield Wellmark — Commercial: $7,612.18 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $3,992.56
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 58558 HYSTEROSCOPY WBIOPSY	$2,611	$1,775.48	$210.07 – $1,174.95
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $210.07 Blue Cross Blue Shield — Medicare Replacement: $210.07 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $1,174.95 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $210.07 Health Partners — Commercial: $1,174.95 Humana — Medicare Replacement: $210.07 Medica — Commercial: $388.63 Medica — Medicare Replacement: $210.07 Medica — PMAP: $1,174.95 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $210.07
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C	$9,074	$6,170.32	$3,447.21 – $8,493.26
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Avera Health Plans — Commercial: $8,438.82 Blue Cross Blue Shield — Managed Medicaid: $3,447.21 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $3,447.21 Health Partners — Commercial: $7,712.90 Medica — Commercial: $8,493.26 Medica — PMAP: $4,509.78 Sanford — Commercial: $5,444.40 United Healthcare — Commercial: $7,422.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID	$2,581	$1,755.08	$980.52 – $2,451.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $1,135.64 Avera Health Plans — Commercial: $2,400.33 Blue Cross Blue Shield — Commercial: $2,165.20 Blue Cross Blue Shield — Managed Medicaid: $980.52 Blue Cross Blue Shield — Medicare Replacement: $1,135.64 Blue Cross Blue Shield of Minnesota — Commercial: $2,165.20 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $980.52 Blue Cross Blue Shield of North Dakota — Commercial: $2,165.20 Blue Cross Blue Shield Wellmark — Commercial: $2,165.20 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $1,135.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 62323 INJ IL NDL CATH LUMB SACR W GUID	$1,434	$975.12	$93.03 – $645.30
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $93.03 Blue Cross Blue Shield — Medicare Replacement: $93.03 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $645.30 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $93.03 Health Partners — Commercial: $645.30 Humana — Medicare Replacement: $93.03 Medica — Commercial: $172.11 Medica — Medicare Replacement: $93.03 Medica — PMAP: $645.30 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $93.03
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID	$2,581	$1,755.08	$980.52 – $2,415.82
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Avera Health Plans — Commercial: $2,400.33 Blue Cross Blue Shield — Managed Medicaid: $980.52 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $980.52 Health Partners — Commercial: $2,193.85 Medica — Commercial: $2,415.82 Medica — PMAP: $1,282.76 Sanford — Commercial: $1,548.60 United Healthcare — Commercial: $2,111.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL	$2,227	$1,514.36	$846.04 – $2,115.65
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $979.88 Avera Health Plans — Commercial: $2,071.11 Blue Cross Blue Shield — Commercial: $1,868.23 Blue Cross Blue Shield — Managed Medicaid: $846.04 Blue Cross Blue Shield — Medicare Replacement: $979.88 Blue Cross Blue Shield of Minnesota — Commercial: $1,868.23 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $846.04 Blue Cross Blue Shield of North Dakota — Commercial: $1,868.23 Blue Cross Blue Shield Wellmark — Commercial: $1,868.23 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $979.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 64483 INJ LUMB SACRAL SNGL LVL	$2,118	$1,440.24	$105.12 – $953.10
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $105.12 Blue Cross Blue Shield — Medicare Replacement: $105.12 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $953.10 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $105.12 Health Partners — Commercial: $953.10 Humana — Medicare Replacement: $105.12 Medica — Commercial: $194.47 Medica — Medicare Replacement: $105.12 Medica — PMAP: $953.10 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $105.12
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL	$2,227	$1,514.36	$846.04 – $2,084.47
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Avera Health Plans — Commercial: $2,071.11 Blue Cross Blue Shield — Managed Medicaid: $846.04 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $846.04 Health Partners — Commercial: $1,892.95 Medica — Commercial: $2,084.47 Medica — PMAP: $1,106.82 Sanford — Commercial: $1,336.20 United Healthcare — Commercial: $1,821.69
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP	$6,126	$4,165.68	$2,327.27 – $5,819.70
Cataract removal with lens implant: 10 of 22 insurance plan rates Aetna — Medicare Replacement: $2,695.44 Avera Health Plans — Commercial: $5,697.18 Blue Cross Blue Shield — Commercial: $5,139.10 Blue Cross Blue Shield — Managed Medicaid: $2,327.27 Blue Cross Blue Shield — Medicare Replacement: $2,695.44 Blue Cross Blue Shield of Minnesota — Commercial: $5,139.10 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,327.27 Blue Cross Blue Shield of North Dakota — Commercial: $5,139.10 Blue Cross Blue Shield Wellmark — Commercial: $5,139.10 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,695.44
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP	$6,126	$4,165.68	$2,327.27 – $5,733.94
Cataract removal with lens implant: rates for 8 insurance plans Avera Health Plans — Commercial: $5,697.18 Blue Cross Blue Shield — Managed Medicaid: $2,327.27 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,327.27 Health Partners — Commercial: $5,207.10 Medica — Commercial: $5,733.94 Medica — PMAP: $3,044.62 Sanford — Commercial: $3,675.60 United Healthcare — Commercial: $5,011.07

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 59400 DEL VAG ANT PP CARE	$5,982	$4,067.76	$2,148.52 – $3,974.76
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $2,148.52 Blue Cross Blue Shield — Medicare Replacement: $2,148.52 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,691.90 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,148.52 Health Partners — Commercial: $2,691.90 Humana — Medicare Replacement: $2,148.52 Medica — Commercial: $3,974.76 Medica — Medicare Replacement: $2,148.52 Medica — PMAP: $2,691.90 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,148.52
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 59510 ROUTINE OB CARE WANT	$6,169	$4,194.92	$2,360.28 – $4,366.52
Cesarean delivery (C-section), with care before and after: 10 of 14 insurance plan rates Aetna — Medicare Replacement: $2,360.28 Blue Cross Blue Shield — Medicare Replacement: $2,360.28 Blue Cross Blue Shield of Minnesota Blue Plus — PMAP: $2,776.05 Blue Plus Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,360.28 Health Partners — Commercial: $2,776.05 Humana — Medicare Replacement: $2,360.28 Medica — Commercial: $4,366.52 Medica — Medicare Replacement: $2,360.28 Medica — PMAP: $2,776.05 Medica Minnesota Senior Health Options (MSHO) — Medicare Replacement: $2,360.28

Source: Windom Area Health’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 3, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	2150 Hospital Drive, PO Box 339, Windom, MN 56101
County	Cottonwood County
State	Minnesota
Phone	(507) 831‑2400
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	241332
Name in Medicare records	WINDOM AREA HEALTH
Profile level	Medicare data + hospital website
Official website	windomareahealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Emergency Services — windomareahealth.org
Windom Area Health | Windom MN — windomareahealth.org
Specialty Clinics/Outreach & Surgical Center Schedules - Windom Area Health — windomareahealth.org
Peripheral Artery Disease (PAD) Exercise Program - Windom Area Health — windomareahealth.org
Birth Place - Windom Area Health — windomareahealth.org
Cardiology - Windom Area Health — windomareahealth.org
Cancer Care - Windom Area Health — windomareahealth.org
Imaging Services - Windom Area Health — windomareahealth.org
General Surgery and Clinic - Windom Area Health — windomareahealth.org
Orthopedics - Windom Area Health — windomareahealth.org
Cardiac Rehabilitation - Windom Area Health — windomareahealth.org
Rehabilitation Services - Windom Area Health — windomareahealth.org
Wound & Hyperbaric Healing Center - Windom Area Health — windomareahealth.org

Windom Area Health

Summary

Profile from official sources

At a glance